Top 10 Best Caregiver Payroll Software of 2026

AlayaCare is a comprehensive cloud-based platform designed for home care agencies, with robust caregiver payroll software that automates processing by integrating seamlessly with scheduling, time tracking, and EVV. It handles complex payroll needs like overtime, shift differentials, multi-rate pay, taxes, and compliance with labor regulations across multiple regions. The system ensures accurate, timely payments while reducing manual errors through real-time data synchronization and reporting tools.

AxisCare is a comprehensive home care management platform with robust caregiver payroll software designed for agencies managing scheduling, EVV, billing, and payroll. It automates payroll calculations by integrating shift schedules, clock-in/out data, and visit verifications to compute wages, overtime, and shift differentials accurately. The system ensures compliance with home care regulations and supports seamless exports or integrations with providers like ADP and QuickBooks.

CareSmartz360 is a comprehensive home care management platform with robust caregiver payroll capabilities, automating calculations based on verified visits, scheduling, and time tracking. It handles complex pay structures like split shifts, overtime, benefits, and tax compliance, integrating seamlessly with EVV for accurate payroll processing. The software also offers reporting and direct deposit options, making it suitable for agencies managing caregiver compensation alongside broader operations.

HHAeXchange is a comprehensive home care management platform that includes robust caregiver payroll software, automating payroll processing by integrating directly with scheduling, electronic visit verification (EVV), and timesheet data. It handles complex calculations for overtime, shift differentials, taxes, and compliance with state-specific regulations, supporting direct deposit and W-2/1099 generation. The system scales for agencies of all sizes, with strong mobile app support for caregivers to clock in/out and submit timesheets in real-time.

ShiftCare is an all-in-one care management platform tailored for home care providers, particularly in Australia, with strong caregiver payroll capabilities integrated into its rostering and scheduling tools. It automates timesheet capture via a mobile app, calculates pay including overtime and allowances, and integrates with accounting software like Xero and MYOB for seamless payroll processing. The software ensures compliance with NDIS regulations and streamlines administrative tasks for agencies managing shift-based caregiver workforces.

Carevoyant is a cloud-based, all-in-one platform tailored for home care and hospice agencies, with robust caregiver payroll features integrated into its scheduling, billing, and EVV systems. It automates payroll processing by pulling verified timesheets, calculating overtime, shift differentials, and multiple pay rates while ensuring compliance with regulations like Medicaid EVV. The software offers real-time labor cost insights, customizable reports, and seamless integrations with accounting tools like QuickBooks.

Axxess is an all-in-one home health software platform that includes integrated caregiver payroll capabilities tailored for home care agencies. It automates payroll processing by syncing with scheduling, electronic visit verification (EVV), and time tracking to calculate wages accurately based on completed visits. The solution supports complex pay structures, tax compliance, and direct deposit, making it suitable for managing caregiver compensation within a broader operational workflow.

WellSky provides a comprehensive suite of healthcare software solutions tailored for home health, hospice, and personal care agencies, with robust caregiver payroll features integrated into its workforce management platform. It automates payroll processing by linking verified caregiver shifts, time tracking, and Electronic Visit Verification (EVV) data to ensure accurate payments and compliance with regulations like Medicaid requirements. The system supports complex pay structures, benefits administration, and reporting for mid-to-large agencies.

ShiftMed is a mobile-first staffing platform designed for healthcare facilities to connect with on-demand nurses and caregivers for flexible shift work. It integrates scheduling, time tracking, compliance verification, and payroll processing to enable fast payments, often same-day or next-day. While primarily a marketplace for per diem staffing, it handles caregiver payroll efficiently for shift-based compensation, including tax withholdings and direct deposits.

Gusto is a full-service payroll and HR platform tailored for small to medium-sized businesses, automating payroll processing, tax calculations and filings, benefits administration, and employee onboarding. For caregiver agencies, it handles hourly wages, overtime, multi-state payroll, and contractor payments effectively, ensuring compliance with standard labor laws. While versatile, it lacks deep specialization in caregiving-specific needs like shift scheduling or visit-based reimbursements.